Ryan Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3251 Nebraska St
Longview, WA 98632-4228

Phone

(360) 431-5114

NPI assigned

Jan 21, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484956800000",
    "number": "1346787942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 NEBRASKA ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 NEBRASKA ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324228",
            "telephone_number": "360-431-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-21",
        "last_updated": "2017-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica K Smith
• Kimberly Denise Smith, CPC
• Kylah Archelle Smith
• Lyndsey Smith, DENTAL HYGIENIST
• Raquel Smith, BS, AAC
• Whitney Marie Smith, LPN
• Suzanne Trimble Snow, M.A. LMHC
• Zoey Snow
• Adam Soelberg, DPT
• Rudi Soetamin, BA, R-AAC

• Behavior Analyst in Longview, WA
• Providers in Longview, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.